# WALGREENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104107796
- **Authorized official:** MR. SEAN FALSEY (PHARMACY SUPERVISOR)
- **Authorized official phone:** (815) 397-1587

## Contact information

- **Practice address:** 1201 E STATE ST, ROCKFORD, IL 61104-2212
- **Practice address phone:** (815) 962-2812
- **Mailing address:** 1201 E STATE ST, ROCKFORD, IL 61104-2212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 051292971 | IL | Yes |

## Other

- **Enumeration date:** 09/08/2011
- **Last updated:** 09/08/2011